385x Filetype PPTX File size 0.09 MB Source: www.hca.wa.gov
HCA Reimbursement Policy for Spoken
Language Access Providers (LAP)
The Health Care Authority (HCA) will provide
reimbursement for spoken LAP requests for integrated
manage care (IMC), behavioral health (BH), and substance
use disorder (SUD) services if Universal Language Service
(ULS) is unable to fill a job. Reimbursement will be paid at
the current Collective Bargaining Agreement (CBA) rate.
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Reimbursement Training Objectives
Objectives:
Identify what requests are eligible for reimbursement?
Identify what requests are not eligible for reimbursement?
Determine reimbursement rate to requester for services
How to cancel a request
How to request reimbursement
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Provider Responsibility
According to Title VI of the Civil Rights Acts of 1964 and the
Americans with Disabilities Act (ADA), providers are required to
assure language access. HCA supports you in this effort by offering
interpreter services through our contractor Universal Language.
If HCA’s interpreter services contractor is unable to provide an
interpreter, providers are responsible to provide an interpreter at
their expense.
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Language Access Providers (LAPs)
and the Union
The Governor granted spoken Language Access Providers
(LAP)s bargaining rights in 2011.
HCA and DSHS are required to follow the collective
bargaining agreement (CBA). This means:
Interpreters must be LAPs
DSHS certified/authorized or recognized
Payment rates are set by the CBA
Agreement (CBA) between the state and the Union can be
found at the Office of Financial Management:
Language Access Providers WFSE.
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Which Requests are Eligible for
Reimbursement
HCA will only reimburse providers for pre-scheduled requests
submitted through the Contractor that they were unable to fill . The
service appointment must be cancelled and claims for reimbursement
must be submitted to Contractor within 90 days from the date of
service. The claim will include a Reimbursement Voucher, paid invoice,
and W-9 (provided only once) by email to billing@ulsonline.net, and meet
the below criteria:
Request was unable to be filled by Contractor
Eligible Apple Health(Medicaid) covered health care service
Apple Health (Medicaid) eligible clients
Services provided by an Apple Health (Medicaid)enrolled providers
Must be a completed appointment
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